Social Structure And Health In A Changing Society

Health and illness are intensely personal matters. It seems self evident that health is a basic necessity of the 'good life', though it is often taken for granted. Illness, on the other hand challenges our sense of security and may introduce acute anxiety into our lives. Health and Illness in a Changing Society provides a lively and critical account of the impact of social change on the experience of health and illness. It also examines the different sociological perspectives that have been used to analyse health matters. While some of the ideas developed in the last twenty years remain relevant to social research in health today, many are in need of urgent revision.

* How have health, illness and medicine been affected by social change? * What are the implications of disorganized capitalism, neo-liberalism and the 'Third Way' for health and healing? * How important are class, gender and ethnic relations for health care reforms and the distribution of health? Health and Social Change offers a clear and incisive examination of the social changes that have affected capitalist societies, and their ramifications for health and for systems of healing. It reviews the major paradigms of medical sociology and considers theories of the 'postmodern turn'. The author draws on critical realism and critical theory to demonstrate the significance of the shift from organized to disorganized capitalism for health care reform, in particular in Britain and the USA; for the present widening of health inequalities; and for people's use of popular, folk and professional forms of healing. He goes on to examine the role of a critical sociology and its necessary relationship to civil society and deliberative democracy. The result is an engaging and thought-provoking text for students, researchers and professionals interested in health and social change.

In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.

"In society at large, lives have been drastically altered over this century--as a consequence of increased longevity, advances in science and education, the gender revolution, improvements in public health, and other historical trends and events--but numerous inflexible social structures, roles, and norms have lagged behind. There is a mismatch or imbalance between the transformation of the aging process from birth to death and the role opportunities or places in the social structure that could foster and reward people at the various stages of their lives. While the twentieth century has experienced a revolution in human development and aging, there has been no comparable revolution in the role structures of society to keep pace with the changes in the ways people grow up and grow old. The lag involves not only institutional and organizational arrangements, but also the many aspects of culture that, in addition to being internalized by people, are built into role expectations and societal mores and laws. For the future, then, structural changes will be needed if people are to find opportunities to spread leisure and work, as well as education, more evenly over the life course, and to make room for family affairs." --from Age and Structural Lag

"An accessible and highly readable introduction to the Sociology of Health and Illness through the inclusion of key theorists, concepts, and theories, with reference to contemporary health concerns and recent relevant research." - Kylie Baldwin, De Montfort University "Guides us through the many reasons for the centrality of health, showing clearly that health and illness are the products not just of our biology but of the society into which we are born...an authoritative analysis of the social nature of health." - Ray Fitzpatrick, University of Oxford This bestselling text introduces students to the core principles of the sociology of health, demonstrating the relationship between social structures and the production and distribution of health and disease in modern society. Written with a truly sociological and critical perspective, the book tackles themes such as class, gender and ethnicity, and engages with a range of theories and theorists, including Foucault, Fleck, Parsons, Weber, and Kuhn. The third edition has been thoroughly updated to include the latest cutting-edge thinking in the area, with new empirical examples, updated references, and new sections on ′Thought Styles after Fleck’, and ‘Transformations of the Medical Profession.′ It also uses helpful learning features including chapter overviews, case studies, summaries and further reading suggestions, to provide stimulating and thought-provoking exercises for students in health, nursing and sociology schools.

From mad-cow disease and E. coli-tainted spinach in the food supply to anthrax scares and fears of a bird flu pandemic, national health threats are a perennial fact of American life. Yet not all crises receive the level of attention they seem to merit. The marked contrast between the U.S. government's rapid response to the anthrax outbreak of 2001 and years of federal inaction on the spread of AIDS among gay men and intravenous drug users underscores the influence of politics and public attitudes in shaping the nation's response to health threats. In Disease Prevention as Social Change, sociologist Constance Nathanson argues that public health is inherently political, and explores the social struggles behind public health interventions by the governments of four industrialized democracies. Nathanson shows how public health policies emerge out of battles over power and ideology, in which social reformers clash with powerful interests, from dairy farmers to tobacco lobbyists to the Catholic Church. Comparing the history of four public health dilemmas—tuberculosis and infant mortality at the turn of the last century, and more recently smoking and AIDS—in the United States, France, Britain, and Canada, Nathanson examines the cultural and institutional factors that shaped reform movements and led each government to respond differently to the same health challenges. She finds that concentrated political power is no guarantee of government intervention in the public health domain. France, an archetypical strong state, has consistently been decades behind other industrialized countries in implementing public health measures, in part because political centralization has afforded little opportunity for the development of grassroots health reform movements. In contrast, less government centralization in America has led to unusually active citizen-based social movements that campaigned effectively to reduce infant mortality and restrict smoking. Public perceptions of health risks are also shaped by politics, not just science. Infant mortality crusades took off in the late nineteenth century not because of any sudden rise in infant mortality rates, but because of elite anxieties about the quantity and quality of working-class populations. Disease Prevention as Social Change also documents how culture and hierarchies of race, class, and gender have affected governmental action—and inaction—against particular diseases. Informed by extensive historical research and contemporary fieldwork, Disease Prevention as Social Change weaves compelling narratives of the political and social movements behind modern public health policies. By comparing the vastly different outcomes of these movements in different historical and cultural contexts, this path-breaking book advances our knowledge of the conditions in which social activists can succeed in battles over public health.

The issues of poverty, inequality, racial injustice, and climate change have never been more pressing or paralyzing. Current approaches to social change, which rely on linear thinking and traditional power dynamics to 'solve' social problems, are not helping. In fact, they may only beentrenching the status quo.Systemic social challenges produce bewildering results when we try to solve them due to their complexity, scale, and depth. While strategies to tackle complexity and scale have received significant attention and investment, challenges that arise from deeply-held beliefs, values, and assumptions thatno longer serve us well have been largely overlooked. This book draws on stories of committed social changemakers to uncover a set of principles and practices for social change that dramatically depart from the industrial approach. Rather than delivering solutions or being lured by grander visionsof 'systems change', these principles and practices focus on the process of change itself. Simple yet profound, these stories distil a timely set of lessons for leaders, scholars, and policymakers on how connection, context, and power sit at the heart of the change process, ensuring broader agencyfor people and communities while building social systems that are responsive in a rapidly-changing world.

In this stimulating book, William C. Cockerham, a leading medical sociologist, assesses the evidence that social factors (such as stress, poverty, unhealthy lifestyles, and unpleasant living and work conditions) have direct causal effects on health and many diseases. Noting a new emphasis upon social structure in both theory and multi-level research techniques, the author argues that a paradigm shift has been emerging in 21st-century medical sociology, which looks beyond individual explanations for health and disease. The field has headed toward a fundamentally different orientation, and Cockerham’s work has been at the forefront of these changes. The second edition of his compelling account has been thoroughly revised and updated with further contemporary developments, and also includes an expanded discussion of the relationship between race and health as well as new material on health care reform and social policy. This engaging text will be indispensable reading for all students and scholars of medical sociology, especially those with the courage to confront the possibility that society really does make people sick.